| NPI | 1912393208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VEMURI KRISHNA Ower 407-215-6370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL me50242) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |